Hemorrhoids are masses, clumps, cushions of tissue full of blood vessels that aid muscle, and elastic fibers in the anal canal. However, when the hemorrhoids guarding the anal passage become too big and bulge from the walls of anal canal especially while passing stools because of infection, which results in the vein partitions that turn out to be stretched, thin, and painful while passing bowel movements, that is when piles develop.
The abnormal swelling in the blood vessels in or around the anal canal resembling a venous cushion found in the lower rectum hampers the stool control mechanism.
Hemorrhoids manifest the symptoms when the vascular tissue becomes inflamed and swollen. Although they may bleed, itch, or cause pain, they can be treated and healed by making a few healthy lifestyle changes.
Main reasons for having hemorrhoids are:
There are three types of hemorrhoids, based on their origin, which helps to determine blood supply, histology, and the possibility to cause pain. They can occur separately or in combination and one could have single hemorrhoid or have several at the same time.
Internal hemorrhoids are located in the inside lining of the rectum along the anal canal wall and are not obvious unless they are considerably enlarged, in which case they can be felt.
Hemorrhoids prolapse when their blood vessels swell and extend from their location in the rectum through the anus due to exposed hemorrhoids leading to the trauma while passing stool, particularly hard stools associated with constipation which can cause bleeding along with mild pain.
If one is able to see or feel the moist pads of skin that are pink in texture than the surrounding area, it confirms that the internal hemorrhoids have prolapsed or protrude outside the anus.
When inner hemorrhoids swell and stick out of the anus, then prolapsed hemorrhoids occur. There are 4 grades for prolapsed hemorrhoids.
The confinement and strangulation of the hemorrhoids might cause pain by triggering the anal sphincter complex spasm resulting in ischemia and necrosis of internal hemorrhoids, characterized by:
Hemorrhoid starts off as internal and moves on as an external type of hemorrhoid. This is basically a transitioning stage.
External hemorrhoids are small soft pads under the skin just around the anal opening, the same color as of the skin.
Thrombosed hemorrhoids seem like lumps or swelling around the anus that incorporates a blood clot within the hemorrhoid tissue. They are seen when an external hemorrhoid prolapse to the outside usually while passing a stool or bowel movement. Blood clots appear in both inner and outside hemorrhoids, exhibiting the following symptoms:
The hemorrhoidal thrombosis occurs when the surrounding skin gets scraped away and leads to bright red color bleeding that meanwhile gets developed into a clot or thromboses, characterized as a tender, circular, purplish bulging structure around the anal opening.
While most hemorrhoids completely resolve within a week or so with lifestyle changes and ayurvedic medications, some have ongoing hemorrhoids throughout life. The importance of following a healthy diet & lifestyle regime is well portrayed by the quote, “An ounce of prevention is worth a pound of cure” as by being the custodian of the body and taking action to employ a healthy dietary regime, being hydrated, avoiding a abdominal strain, and regular exercise might help to avoid the recurrence of hemorrhoids.
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